This month is BREAST CANCER  and striveforgoodhealth.com thought it was appropriate in addressing it.

Breast cancer is cancer that forms in the cells of the breasts.

After skin cancer, breast cancer is the most common cancer diagnosed in women in the United States. Breast cancer can occur in both men and women, but it’s far more common in women.

Public support for breast cancer awareness and research funding has helped improve the diagnosis and treatment of breast cancer. Breast cancer survival rates have increased, and the number of deaths has been declining, thanks to a number of factors such as earlier detection, new treatments and a better understanding of the disease.

Breast cancer prevention starts with healthy habits — such as limiting alcohol and staying physically active. Understand what you can do to reduce your breast cancer risk.

If you’re concerned about breast cancer, you may be wondering if there are steps you can take toward breast cancer prevention. Some risk factors, such as family history, can’t be changed. However, there are lifestyle changes you can make to lower your risk.

What can I do to reduce my risk of breast cancer?

Lifestyle changes have been shown in studies to decrease breast cancer risk even in high-risk women.  The following are steps you can take to lower your risk:

• Limit alcohol. The more alcohol you drink, the greater your risk of developing breast cancer. If you choose to drink alcohol — including beer, wine or liquor — limit yourself to no more than one drink a day.
• Don’t smoke. Accumulating evidence suggests a link between smoking and breast cancer risk, particularly in premenopausal women. In addition, not smoking is one of the best things you can do for your overall health.
• Control your weight. Being overweight or obese increases the risk of breast cancer. This is especially true if obesity occurs later in life, particularly after menopause.
• Be physically active. Physical activity can help you maintain a healthy weight, which, in turn, helps prevent breast cancer. For most healthy adults, the Department of Health and Human Services recommends at least 150 minutes a week of moderate aerobic activity or 75 minutes of vigorous aerobic activity weekly, plus strength training at least twice a week.
• Breast-feed. Breast-feeding may play a role in breast cancer prevention. The longer you breast-feed, the greater the protective effect.
• Limit dose and duration of hormone therapy. Combination hormone therapy for more than three to five years increases the risk of breast cancer. If you’re taking hormone therapy for menopausal symptoms, ask your doctor about other options. You may be able to manage your symptoms with nonhormonal therapies, such as physical activity. If you decide that the benefits of short-term hormone therapy outweigh the risks, use the lowest dose that works for you.
• Avoid exposure to radiation and environmental pollution. Medical-imaging methods, such as computerized tomography, use high doses of radiation, which have been linked with breast cancer risk. Reduce your exposure by having such tests only when absolutely necessary. While more studies are needed, some research suggests a link between breast cancer and exposure to the chemicals found in some workplaces, gasoline fumes and vehicle exhaust. Eating a diet rich in fruits and vegetables hasn’t been consistently shown to offer protection from breast cancer. In addition, a low-fat diet appears to offer only a slight reduction in the risk of breast cancer.  A number of older studies suggested that birth control pills slightly increased the risk of breast cancer, especially among younger women. In these studies, however, 10 years after discontinuing birth control pills women’s risk of breast cancer returned to the same level as that of women who never used oral contraceptives. Current evidence does not support an increase in breast cancer with birth control pills.
• Be vigilant about breast cancer detection. If you notice any changes in your breasts, such as a new lump or skin changes, consult your doctor. Also, ask your doctor when to begin mammograms and other screenings.
• Is there a link between birth control pills and breast cancer?
• However, eating a healthy diet may decrease your risk of other types of cancer, as well as diabetes, heart disease and stroke. A healthy diet can also help you maintain a healthy weight — a key factor in breast cancer prevention.
• Can a healthy diet prevent breast cancer?

Once you’ve been diagnosed with breast cancer, your doctor works to find out the specifics of your tumor. Using a tissue sample from your breast biopsy or using your tumor if you’ve already undergone surgery, your medical team determines your breast cancer type. This information helps your doctor decide which treatment options are most appropriate for you.

Here’s what’s used to determine your breast cancer type.

Is your cancer invasive or noninvasive?

Whether your cancer is invasive or noninvasive helps your doctor determine whether your cancer may have spread beyond your breast, which treatments are more appropriate for you, and your risk of developing cancer in the same breast or your other breast.

• Noninvasive (in situ) breast cancer. In situ breast cancer refers to cancer in which the cells have remained within their place of origin — they haven’t spread to breast tissue around the duct or lobule. One type of noninvasive cancer called ductal carcinoma in situ (DCIS) is considered a precancerous lesion. This means that if it were left in the body, DCIS could eventually develop into an invasive cancer. Another type of noninvasive cancer called lobular carcinoma in situ (LCIS) isn’t considered precancerous because it won’t eventually evolve into invasive cancer. LCIS does, however, increase the risk of cancer in both breasts.
• Invasive breast cancer. Invasive (infiltrating) breast cancers spread outside the membrane that lines a duct or lobule, invading the surrounding tissues. The cancer cells can then travel to other parts of your body, such as the lymph nodes. If your breast cancer is stage I, II, III or IV, you have invasive breast cancer.

In what part of the breast did your cancer begin?

The type of tissue where your breast cancer arises determines how the cancer behaves and what treatments are most effective. Parts of the breast where cancer begins include:

• Milk ducts. Ductal carcinoma is the most common type of breast cancer. This type of cancer forms in the lining of a milk duct within your breast. The ducts carry breast milk from the lobules, where it’s made, to the nipple.
• Milk-producing lobules. Lobular carcinoma starts in the lobules of the breast, where breast milk is produced. The lobules are connected to the ducts, which carry breast milk to the nipple.
• Connective tissues. Rarely breast cancer can begin in the connective tissue that’s made up of muscles, fat and blood vessels. Cancer that begins in the connective tissue is called sarcoma. Examples of sarcomas that can occur in the breast include phyllodes tumor and angiosarcoma.
•  FYI a complication that can occur with advanced cancer that many of you may be unaware of. Bone metastasis occurs when cancer cells spread from their original site to a location in the bone. The most common types of cancer more likely to spread to bone include breast, prostate and lung cancers.Signs and symptoms of bone metastasis may include the following:
• Bone metastasis can occur in any bone, but more commonly occurs in the pelvis and spine. Bone metastasis may be the first sign that you have cancer, or it may occur years after your cancer treatment is completed, ex. Hodgkins Disease.
• Bone pain (back and pelvic pain are most common).
• Unexplained broken bones
• Loss of urine and/or bowel function
• Weakness in the legs
• High levels of calcium in the blood (hypercalcemia), which can cause nausea, vomiting and confusion
• The most common problem with metastatic bone cancer is pain and fractures. Metastatic bone cancer usually can’t be cured, but instead the goal is to provide pain relief and control further spread. Treatment can make a big difference and may include the following:
• Medications to repair and build new bone — These medications are similar to those used by people with osteoporosis and can help in building and strengthening your bone.
• Chemotherapy — Given as a pill or through a vein, used to control and treat cancer that has spread to the bone.
• Traditional radiation therapy — Radiation is given as external beam therapy to treat the cancer in the bone.
• Hormone therapy — Medications are used to block hormones (for breast and prostate cancers) that help control the spread of cancer to the bone.
• Surgery — Used to fix a fracture and stabilize a break from the cancer in the bone.
• Cryoablation — A special technique that freezes the cancer cells.
• Radiofrequency ablation — A special technique that heats the cancer cells.
• Chemoradiation — A form of internal radiation that is given through the vein and travels to the site of bone metastasis and targets the cancer cells.
• Pain medications — Medications provided with the goal of relieving and controlling pain from bone metastasis.
• Physical therapy — Exercises may be prescribed to assist in strengthening muscles and providing any assistive devices that may help you (cane, walker, crutches, etc.).If you’re living with metastatic bone cancer, you may find help and resources from a website called Bone Health in Focus. It was established with partners including BreastCancer.org, the National Lung Cancer Partnership and Us TOO International Prostate Cancer Education & Support Network to offer resources that help patients and caregivers understand more about cancer that has spread to the bone (find the site at www.bonehealthinfocus.com). Are you living with cancer that has spread to the bone? Feel free to share your experiences with each other on the this blog striveforgoodhealth.com or on TheMayoclinic.org

      Make the changes in your lifestyles including diet if you want to prevent cancer, live long and have a productive life.

• Mayo Clinic information on cancer that has spread to the bone can be found at http://www.mayoclinic.org/diseases-conditions/bone-metastasis/basics/definition/con-20035450.

Cancer cells have to go through several steps to spread to new parts of the body:.

• They have to be able to break away from the original tumor and enter the bloodstream or lymph system, which can carry them to another part of the body.
• They need to attach to the wall of a blood or lymph vessel and move through it into a new organ.
• They need to be able to grow and thrive in their new location.
• They need to be able to avoid attacks from the body’s immune system.

American Cancer Society

“The prevalence of obesity is rapidly increasing globally. Epidemiological studies have associated obesity with a range of cancer types, although the mechanisms by which obesity induces or promotes tumorigenesis vary by cancer site.”

EE Calle, R Kaaks – Nature Reviews Cancer, 2004 – nature.com

“Several factors could explain the positive association between time spent sitting and higher all-cause death rates,”. “Prolonged time spent sitting, independent of physical activity, has been shown to have important metabolic consequences, and may influence things like triglycerides, high density lipoprotein, cholesterol, fasting plasma glucose, resting blood pressure, and leptin, which are biomarkers of obesity and cardiovascular and other chronic diseases.”

Alpa Patel, Ph.D (The doctor who was one of the researchers who led the exploration to the association between sitting time and mortality analyzed survey in the American Cancer Society’s Cancer Prevention II study in 1992.

Cushing’s syndrome describes the signs and symptoms associated with prolonged exposure to inappropriately high levels of the hormone cortisol. This can be caused by taking glucocorticoid drugs, or diseases that result in excess cortisol, adrenocortico-tropic hormone (ACTH), or CRH levels. Cushing’s syndrome appears when the body’s tissues are display to immoderate levels of cortisol for long periods of time. There are two types of the disease and they are known as exogenous and endogenous. Exogenous Cushing syndrome is caused by something outside of the body, like when hormones are given to a patient during a RX for another condition. Endogenous is caused by natural causing problems within the body. Endogenous is likely to be hereditary and not caused by an outside force like a steroid complex. Causes of Cushing Syndrome The most common cause of Cushing’s syndrome is exogenous administration of glucocorticoids prescribed by a health care practitioner to treat other diseases (called iatrogenic Cushing’s syndrome). This can be an effect of corticosteroid treatment of a variety of disorders such as asthma and rheumatoid arthritis, or in immunosuppression after an organ transplant. Administration of synthetic ACTH(adrenocorticotropichormone) is also possible, but ACTH is less often prescribed due to cost and lesser utility. Although rare, Cushing’s syndrome can also be due to the use of medroxyprogesterone In this form of Cushing’s, the adrenal glands atrophy due to lack of stimulation by ACTH, since glucocorticoids downregulate production of ACTH. Cushing syndrome in childhood usually results from use of glucocorticoid medication. Endogenous Cushing’s syndrome results from some derangement of the body’s own system of secreting cortisol. Normally, ACTH is released from the pituitary gland when necessary to stimulate the release of cortisol from the adrenal glands. In pituitary Cushing’s, a benign pituitary adenoma secretes ACTH. This is also known as Cushing’s disease and is responsible for 70% of endogenous Cushing’s syndrome. In adrenal Cushing’s, excess cortisol is produced by adrenal gland tumors, hyperplastic adrenal glands, or adrenal glands with nodular adrenal hyperplasia. Tumors outside the normal pituitary-adrenal system can produce ACTH (occasionally with CRH) that affects the adrenal glands. This etiology is called ectopic or paraneoplastic Cushing’s disease and is seen in diseases like small celllung cancer. Finally, rare cases of CRH-secreting tumors (without ACTH secretion) have been reported, which stimulates pituitary ACTH production. Pseudo-Cushing’s syndrome Elevated levels of total cortisol can also be due to estrogen found in oral contraceptive pills that contain a mixture of estrogen and progesterone, leading to Pseudo-Cushing’s syndrome. Estrogen can cause an increase of cortisol-binding globulin and thereby cause the total cortisol level to be elevated. However, the total free cortisol, which is the active hormone in the body, as measured by a 24 hour urine collection for urinary free cortisol, is normal. Epidemiology Iatrogenic Cushing’s syndrome (caused by treatment with corticosteroids) is the most common form of Cushing’s syndrome.

“The secret to getting ahead is getting started.” – Mark Twain

The problem with being overweight or obese, as measured by weight and height, is that it raises our risk of chronic diseases like diabetes and heart disease.  But did you know that being obese can actually increase our risk of getting cancer and may even worsen our chances of surviving after a cancer diagnosis?  In fact, the American Cancer Society Cancer Prevention Study II showed significant increases in cancer occurrence in people who are the most overweight.  This link is stronger in some cancer types –including breast cancer after menopause, and cancers of the colon and rectum, pancreas, kidney, esophagus, and endometrium — and can be associated with a major increase in risk.

Being obese appears to be a problem for cancer survivors as well.  Studies have shown worse survival for obese women with breast cancer; obese men with prostate cancer are more likely to have an aggressive form of cancer and it is more likely to come back after surgery.  In light of this more recent data, the American Cancer Society recently released new healthy living guidelines for cancer survivors.

The relationship between body weight and cancer becomes more alarming when we consider just how many people in the United States are overweight or obese. Today, only 1/3 of adults are at a healthy body weight for their height. Another 1/3 are considered “overweight” and the remaining 1/3 are in the “obese” category. (About 17 % of children and adolescents are obese).  These rates are 300% higher than in 1980.)

AMERICA wake up we have to turn this around for the better unless we don’t care about making this the home of the best country to live in a better one for all. We need to get healthier people especially if you have a condition, illness or disease that will let you but always get clearance by your doctor before making changes; to maintain your safety.

In a few years, obesity will replace smoking as the number one preventable cause of many common cancers, according to Professor Jeffrey M. P. Holly, Ph.D. With a grant from American Institute of Cancer Research (AICR), Professor Holly is examining how fatty acids affect the actions of insulin-like growth factors (IGFs), which may promote cancer. He is also looking at two phytochemicals that may interfere with the actions of IGFs and form part of a diet to prevent cancer.

Obesity results from a long-term energy imbalance that increases a person’s storage of fat and circulating levels of fatty acids. These higher levels of fatty acids can cause resistance to insulin, which is a hormone essential to regulating the body’s metabolism. Insulin resistance has been associated with the development of diabetes, heart disease and certain cancers. IGFs work in the body in a similar way to insulin. For a long time, Professor Holly, a Clinical Sciences Professor at the University of Bristol, U.K., has studied how these similar substances affect metabolic conditions such as diabetes. But for the past few years – as more recent research has shown that IGFs may be an important risk factor for colon, prostate and premenopausal breast cancer – he has looked at how obesity increases cancer risk through effects upon secretion and action of insulin and IGFs. Recently, he and his research colleagues realized that “no one had looked at what effect eating fatty foods has on IGFs, especially now that we know that IGFs may be related to nutrition-dependent cancers.” Focus on Two Fatty Acids With funding from AICR (American Institute of Cancer Research), Dr. Holly and his research team have begun a series of experiments on malignant and healthy breast cells. They will see what impact the most abundant circulating fatty acids – palmitate and oleate – have on these cells by way of the production and activity of IGFs. Palmitate is a saturated fatty acid, while oleate is an unsaturated fatty acid. “We’re looking at three aspects of these cells’ functions: their metabolism, their growth and their survival,” said Dr. Holly. “For cancer to develop, cell growth and survival are critical.” Normally, when a cell becomes damaged, it is genetically programmed to die prematurely.  This process is called apoptosis. IGFs, however, interfere with apoptosis. “IGFs are known to be the most potent, powerful signal in the body telling the cells not to commit suicide,” said Dr. Holly. “If there is too strong an IGF signal in the body, damaged cells may live and grow into tumors. That’s the most plausible link between high IGF levels and high rates of some cancers.” Palmitate and oleate are known to affect insulin-related metabolic conditions differently. Palmitate appears to make the body more resistant to insulin, while oleate reduces resistance to insulin. But it is too early in Dr. Holly’s two-year experiment to know how the two fatty acids affect actions of IGF. The Flavonoid Effect As part of his AICR-funded project, Professor Holly will see whether two flavonoids – epigallocatechin-3-gallate (EGCG), found in green tea, and luteolin, found in olive oil – affect the growth of both the malignant and healthy cells. He will expose the cells to the flavonoids under various conditions to determine how strong their influence is. Professor Holly chose to examine flavonoids as possible cancer-preventive agents in this obesity-related study because the fat we consume is not our body’s only source of fatty acids. Our bodies have the ability to make some of their own fatty acids when needed. In fact, certain cancers, like breast cancer, tend to make huge amounts in order to maintain their growth rate. Flavonoids are known to inhibit this process. This inhibition may partly explain why a diet high in vegetables and fruits protects against cancer in many studies. Professor Holly suggests that the benefits of eating a lot of vegetables and fruits may be negated by a high-fat diet, because there would be a surplus of fatty acids to feed cells. Although his research project is in a preliminary stage, the investigation is important because it could show how certain diets, especially those low in fat, can help prevent cancer. His study may also demonstrate that some diets may be more beneficial for people undergoing cancer treatment. “Most treatments, like radiation therapy and chemotherapy, encourage cancer cells to die,” said Dr. Holly. “If we can manipulate the environment within the body to make cell death easier, these therapies may be more effective. One way to do this may be to turn off some of the signals from IGFs that encourage malignant cells to survive.”

Obesity is associated with increased risks of the following cancer types,&possibly others as well:

Esophagus/Pancreas/Colon and rectum/Breast (after menopause) /Endometrium (lining of the uterus)/Kidney/Thyroid/Gallbladder

One study, using NCI Surveillance, Epidemiology, and End Results (SEER) data, estimated that in 2007 in the United States, about 34,000 new cases of cancer in men (4 percent) and 50,500 in women (7 percent) were due to obesity. The percentage of cases attributed to obesity varied widely for different cancer types but was as high as 40 percent for some cancers, particularly endometrial cancer and esophageal adenocarcinoma.

A projection of the future health and economic burden of obesity in 2030 estimated that continuation of existing trends in obesity will lead to about 500,000 additional cases of cancer in the United States by 2030. This analysis also found that if every adult reduced their BMI by 1 percent, which would be equivalent to a weight loss of roughly 1 kg (or 2.2 lbs) for an adult of average weight, this would prevent the increase in the number of cancer cases and actually result in the avoidance of about 100,000 new cases of cancer.

“Giving up smoking is the easiest thing in the world. I know because I have done it a thousand times.”

Mark Twain

Through an accurate reference the Centers for Disease Control and Prevention, who wants to save lives and protect people, support the following:

Smoking is estimated to increase the risk—

• For coronary heart disease by 2 to 4 times^1,6
• For stroke by 2 to 4 times¹
• Of men developing lung cancer by 25 times¹
• Of women developing lung cancer by 25.7 times¹

Smoking causes diminished overall heath, such as self-reported poor health, increased absenteeism from work, and increased health care utilization and cost.

Smokers are at greater risk for diseases that affect the engine of the body=The heart and its branches=The circulatory system (putting a smoker at high risk for cardiovascular disease).

• Smoking causes stroke and coronary heart disease—the leading causes of death in the United States.
• Even people who smoke fewer than five cigarettes a day can have early signs of cardiovascular disease.
• Smoking damages blood vessels and can make them thicken and grow narrower. This makes your heart beat faster and your blood pressure go up. Clots can also form.
• A heart attack occurs when a clot blocks the blood flow to your heart. When this happens, your heart cannot get enough oxygen causing starvation of food, being oxygen to the heart tissue. This damages the heart muscle, and part of the heart muscle can die, which is what exactly happens with a heart attack where angina (lack of 02 is reversible).
• A stroke occurs when a clot blocks the blood flow to part of your brain or when a blood vessel in or around your brain bursts causing again starvation of food, being 02, just in a different tissue part. Get it oxygen is the food to all our tissues of the body
• Blockages caused by smoking can also reduce blood flow to your skin and legs (For example Peripheral Vascular Disease= PVD). Ever see the commercial with a person telling you to stop smoking with fingers surgically removed or limbs, PVD is what occurred to that individual and the person didn’t stop smoking. Due to this behavior what happened the vessels of the individual’s limbs became so narrowed that it cut off oxygenated blood supply to those tissue parts causing ischemia-lack of oxygen, which led to necrosis of the tissue (death) and the part had to be surgi-cally removed. Now that individual can’t walk or grasp things with those limbs that were operated on. Is smoking worth this consequence? I don’t think so, what about you? Just think about it if you still smoke.Smoking can cause lung disease by damaging your airways and the small air sacs (alveoli) found in your lungs. What actually happens to the lung tissue is the pin point openings (alveoli) keeps expanding to a wider opening. The alveoli is responsible of oxygen and carbon dioxide exchange when we inhale and exhale but with the alveoli stretched the exchange of the gases gets poor.
• Smoking effects the transmission of the body=The Lungs

• Lung diseases caused by smoking include COPD, which includes emphysema (especially) and chronic bronchitis.
• Cigarette smoking causes most cases of lung cancer.
• If you have asthma, tobacco smoke can trigger an attack or make an attack worse.^1,2
• Smokers are 12 to 13 times more likely to die from COPD than nonsmokers.

Smoking can cause cancer in almost every area of the body. If nobody smoked, one of every three cancer deaths in the United States would not happen. Smoking increases risk of dying from cancer and other diseases in cancer patients and survivors.

For those who quit smoking what risks you reduce:

• Quitting smoking cuts cardiovascular risks. Just 1 year after quitting smoking, your risk for a heart attack drops sharply.²
• Within 2 to 5 years after quitting smoking, your risk for stroke could fall to about the same as a nonsmoker’s.²
• If you quit smoking, your risks for cancers of the mouth, throat, esophagus, and bladder drop by half within 5 years.²
• Ten years after you quit smoking, your risk for lung cancer drops by half.

Again, if you smoke you may want to consider stopping; give it a thought.

Adopting the right attitude can convert a negative stress into a positive one.

Hans Selye (Austrian-Canadian endocrinologist, 1907-1982)